Prior Authorization and Notification | UnitedHealthcare Community Plan of Minnesota

The cardiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. The programs were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Using them helps reduce risks to patients and improves the quality, safety and appropriate use of cardiac procedures.

Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.

• Genetic and Molecular Lab Testing Notification/Prior Authorization

The oncology prior authorization and notification programs aim to increase quality and patient safety by increasing compliance with evidence-based standards of care. View the following links for more information and resources on the specific programs.

• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Aug. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective July 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective June 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective May 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Apr. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Mar. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Jan. 1, 2024open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Nov. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Oct. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Sept. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Aug. 1, 2023open_in_new
• UnitedHealthcare Community Plan Prior Authorization Minnesota Metro - Effective Jun. 1, 2023open_in_new

The radiology prior authorization and notification programs support the consistent use of evidence-based, professional guidelines for diagnostic imaging procedures. They help reduce risks to patients and improve the quality, safety and appropriate use of imaging procedures.